This might make you want to skip your next GYN visit. A gynecologist in Baltimore was secretly video taping his patients visits. And now one of the world’s most renowned medical centers must ante up $190 million in a settlement to his victims. And there were plenty of victims–8,000 women and girls to be exact.

Dr. Nikita Levy used a tiny camera shaped like a pen to record videos and photos without his female patients’ knowledge. When this was discovered by a female co-worker, he was fired after 25 years with the Johns Hopkins Health System in February 2013. A few days later, Levy committed suicide, reports EUR This ‘N That.

Later, an investigation found about 1,200 videos and 140 images of patients stored on computers in Levy’s home. One of the plaintiffs’ attorney Howard Janet indicated there were 62 girls among the victims.

“All of these women were brutalized by this,” said their lead attorney, Jonathan Schochor. “Some of these women needed counseling, they were sleepless, they were dysfunctional in the workplace, they were dysfunctional at home, they were dysfunctional with their mates. This breach of trust, this betrayal — this is how they felt.”

So now John Hopkins has opted for a settlement, a major one to try to compensate the victims for this unbelievable violation of their privacy. This preliminary settlement was recently approved by a judge and is said to be one of the largest ever on record for sexual misconduct of a physician, reports The Huffington Post. “Each plaintiff was interviewed by a forensic psychologist and a post-traumatic stress specialist to determine how much trauma she suffered and how much money she will receive,” reports The Boston Herald.

Some of the victims have not been identified–it would be nearly impossible to do so. According to the lead attorney for the victims, there were thousands of women and girls traumatized and it would inflict more distress to have them “sit around a table and try to identify sexual organs without pictures of faces,” according to Schochor.